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NIDDM合并肺部感染患者的免疫功能变化研究 被引量:10

Disorder of immune function in type Ⅱ diabetics complicated with pulmonary infection
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摘要 [目的]通过对免疫球蛋白(IgA、IgG、IgM),补体(C3、C4),T淋巴细胞亚群(CD3、CD4、CD8),可溶性白细胞介素2受体(SIL-2R)的检测,研究这些免疫指标与NIDDM(非胰岛素依赖性糖尿病)合并肺部感染患者的关系.[方法]采用双抗夹心法测SIL-2R,速率散射比浊法测免疫球蛋白和补体,单克隆法测淋巴细胞亚群等免疫指标.[结果]①糖尿病及其合并感染组SIL-2R显著高于正常对照组(P<0.01).CD4/CD8显著低于正常对照组(P<0.05);②合并感染组较正常对照组IgG、IgA、C3、C4显著升高(P<0.05、P<0.01、P<0.05、P<0.05),IgM无显著变化(P<0.05).[结论]NIDDM合并肺部感染可加重糖尿病及机体免疫功能低下,NIDDM合并肺部感染T淋巴细胞亚群(CD3、CD4、CD8),补体(C3、C4)免疫球蛋白(IgA、IgG)可溶性白细胞介素2受体(SIL-2R)的检测,可作为糖尿病及其合并感染者的病情变化的客观指标. [Objective] To study the relation of Immunoglobulins, (IgA, IgG, IgM), complements (C3, C4), T-lymphocyte Subsets (CD3, CD4, CD8), serum soluble interleukin-2 receptor(SIL-2R) in diabetics complicated with pulmonary infection. [Methods] The level of serum soluble interleukin - 2 receptor(SIL - 2R) was detected by the ELISA. Immunoglobulin and Complement were measured by the nephellometry. The percent of T-lymphocyte Subsets was observed by Monodon. [Results] (1) The level of SIL-2R in diabetic patients with pulmonary infection was significantly higher that in normal control group (P<0.01). CD4/CD8 in diabetic patients with infection was lower significantly lower than that in normal control group (P<0.05) than (2) IgG, IgA, C3 and C4 in diabetic patients with pulmonary infection was significantly higher than that in normal control groups (P<0.05, P<0.01, P<0.05, P<0.05). [Conclusion]Pulmonary infection may depress the host immunity in diabetic patients. The dynamic estimation of T-lymphocyte Subsets (CD3, CD4, CD8), complement (C3, C4), Immunoglobulin (IgA, IgG) and serum soluble interleukin-2 receptor (SIL-2R) levels would be taken as indicators of NIDDM complicated infection.
出处 《大连大学学报》 2003年第6期86-88,共3页 Journal of Dalian University
关键词 糖尿病 NIDDM 合并肺部感染患者 免疫功能 diabetes mellitus infection immune
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参考文献6

  • 1[1]SATTAR N, PERERA M, SMALL M, et al. Hormone replacement therapy and sensitive C-reactive protein concentrations in women with type-2 diabetes[J]. Lancet, 1999, 354: 487-488.
  • 2李明龙,陈凌,徐德凤.非胰岛素依赖型糖尿病患者的免疫功能研究[J].上海免疫学杂志,1996,16(1):26-28. 被引量:40
  • 3[3]EGYCHI K, YAGAME M, SUZUKI D, et al. Significance of high level of serum IgA and IgA-class circulating immune complexes(IgA-CIC) in patients with non-insulin-dependent diabetes mellitus[J]. Diabetes Complications. 1995, 9(1): 42.
  • 4[4]ALEXIEWICZ JM, SMOGORZEWSKI M, KLIN M, et al. Effect of treatment of hemodialysis patients with nifedipine on metabolism and functionof polymorphonuclear leukocytes[J]. Am J Kidney Dis, 1995, 25(3): 440.
  • 5刘润华,刘聪,刘英敏,高云霞,张正候.糖尿病患者血清可溶性白细胞介素-2受体水平及临床意义[J].综合临床医学,1998,14(1):40-42. 被引量:1
  • 6董吉祥,石永兵,韩惠琴,等.2型非胰岛素依赖性糖尿病患者IL-6、TNGF水平与T淋巴细胞亚群关系[J].中国糖尿病杂志,1999,(15):370-371.

二级参考文献10

  • 1车至香,中国实验临床免疫学杂志,1995年,7卷,31页
  • 2张胜兰,中华内分泌代谢杂志,1992年,8卷,211页
  • 3尚德秋,免疫学杂志,1991年,7卷,62页
  • 4李佑成,北京医学,1990年,12卷,284页
  • 5陈功,中华内分泌代谢杂志,1989年,5卷,175页
  • 6刘振启,中华内分泌代谢杂志,1988年,4卷,120页
  • 7郭峰,中华医学杂志,1982年,62卷,715页
  • 8Shibo Tang,Kim Chi Le-Ruppert. Activated T lymphocytes in epiretinal membranes from eyes of patients with proliferative diabetic retinopathy[J] 1995,Graefe’s Archive for Clinical and Experimental Ophthalmology(1):21~25
  • 9R. Wagner,E. Bonifacio,P. J. Bingley,S. Genovese,D. Reinwein,G. F. Bottazzo. Low interleukin-2 receptor levels in serum of patients with insulin-dependent diabetes[J] 1994,The Clinical Investigator(7):494~498
  • 10G. Stuber,F. Vánky,E. Pócsik,M. Benczúr,E. Klein. Expression of interleukin-2 receptor on blood lymphocytes stimulated with allogeneic lymphocytes or autologous tumor cells[J] 1990,Cancer Immunology Immunotherapy(2):76~80

共引文献39

同被引文献60

  • 1李冬祎,陈颖.慢性阻塞性肺疾病合并糖尿病患者肺功能的变化[J].首都医科大学学报,2007,28(4):542-544. 被引量:19
  • 2毛达勇,周有利,朱名安,邓守恒.2型糖尿病伴感染患者细胞免疫和体液免疫的研究[J].郧阳医学院学报,2003,22(5):275-277. 被引量:18
  • 3孙明谨,曾玉琴,李雪锋,朱大菊.糖尿病患者T,B细胞亚群的研究[J].中国现代医学杂志,2005,15(22):3455-3457. 被引量:30
  • 4慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,30(1):8-17. 被引量:8243
  • 5Eguchi K, Yagame M, Suzuki D, et al. Significance of high level of serum IgA and IgA-class circulating immune complexes( IgA-CIC ) in patients with non-insulin-dependent diabetes mellitus [ J]. J Diabetes Complications, 1995 ;9 ( 1 ) :42-8.
  • 6Spooren P, Vermes I, Soons H. Similar alterations of lymphocyte subpopulations in type Ⅰ and type Ⅱ diabetes [ J ]. Neth J Med, 1993 ;42 (5 -6 ) : 163- 7.
  • 7Alexiewicz JM ,Smogorzewski M, Klin M, et al. Effect of treatment of hemodialysis patients with nifedipine on metabolism and function of polymorphonuclear leukocytes[ J]. Am J Kidey Dis, 1995 ;25 (3) :440-4.
  • 8Yang Y, Lu HL, Zhang J, et al. Relationships among acylation stimulating protein, adipanectin and complement C3 in lean vs obese type 2 diabetes [ J]. Int J Obes,2006 ;30(3 ) :439-46.
  • 9Fernandez-Real JM, Ricart W. Insulin resistance and inflammation in an evolutionary perspective:the contribution of cytokine genotype/phenotype to thriftiness [ J). Diabetologia, 1999 ;42 ( 11 ) : 1367-72.
  • 10Koistinen IA, Vidal H, Karonen SL, et al. Plasma acylation stimulating protein concentration and subcutaneous adipose tissue C3 mRNA expression in nondiabetic and type 2 diabetic men [ J ]. Aiterioseler Thormb Vase Biol,2001 ;21 (6) : 1034-9.

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